种族主义,歧视,对医生的不信任,耻辱和肺癌查:一个范围审查
Sreekar Miriyala1, Kirsten V Nguyen2, Anika Park3
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ethnicity & health
|February 4, 2025
概括
医生的不信任和耻辱阻碍了肺癌查,特别是在少数群体中. 解决这些障碍,探索种族主义和歧视的影响对于改善查普及至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 预防医学 预防医学
背景情况:
- 肺癌查降低了死亡率,但未得到充分利用,特别是黑人美国人.
- 种族主义,歧视,对医生的不信任和耻辱是已知的一般预防性查的障碍.
- 它们对肺癌查吸收的具体影响尚不清楚.
研究的目的:
- 综合现有的关于种族主义,歧视,医疗不信任,耻辱和肺癌查之间的关系的文献.
- 确定在少数群体中吸收肺癌查的障碍和促进因素.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 搜索了五个数据库,两位研究人员独立审查了文章.
- 对45项纳入研究进行了叙述性,描述性分析.
主要成果:
- 大多数研究都集中在对医生的不信任 (37) 和耻辱感 (25).
- 经验发现表明,对医生的不信任和耻辱是障碍,而信任则有助于查.
- 很少有研究涉及种族主义 (3) 或歧视 (1);这些主要是对种族主义影响的评论.
结论:
- 需要新的干预措施来促进信任并减少对肺癌查的不信任,不信任和耻辱感.
- 进一步的研究对于理解和解决种族主义和歧视在肺癌查中的作用至关重要,特别是对黑人群体.
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